Elastofibroma dorsi: case series of a rare benign tumour of the back

We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on...

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Published inEuropean journal of orthopaedic surgery & traumatology Vol. 23; no. 6; pp. 643 - 645
Main Authors Giannotti, S., Bottai, V., Dell’osso, G., Bugelli, G., Cazzella, N., Guido, G.
Format Journal Article
LanguageEnglish
Published Paris Springer Paris 01.08.2013
Springer Nature B.V
Subjects
Aged
Female
Fibroma - pathology
Fibroma - surgery
Humans
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Middle Aged
Original Article
Scapula - pathology
Soft Tissue Neoplasms - pathology
Soft Tissue Neoplasms - surgery
Surgical Orthopedics
Traumatic Surgery
Treatment Outcome
Soft tissue
Trunck
Scapula
Tumour
Surgery
Scapular winging
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Summary:We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on clinical and MRI findings and had excision biopsy. The patients were followed for a mean period of 24 months. No patient had residual symptoms. We have only one recurrence. Surgical excision is recommended when it causes functional disability, compression symptoms, an asymmetric outline of the chest wall, or when it is more than 5 cm in diameter. Pre-operative tissue diagnosis is not necessary in most cases. Despite its rarity, the elastofibroma dorsi should always be suspected with the emergence of a swelling in the subscapularis, especially in females and in old age.
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ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-012-1064-2